John Smith, a successful 24-year-old sales representative for an electrical firm, was invited by his boss for a day of salmon fishing off the Oregon coast. He stayed at a motel adjacent to the marina, and awoke at 4:00 a.m. They planned to leave the dock at 5:00 A.M.. Mr. Smith realized that he had forgotten to bring along his medication. He had been taking Dilantin regularly to control his grand mal epilepsy. He was sleepy from the early morning hour, but rising early was especially difficult because the Dilantin made him a little drowsy. He had set the alarm early to give himself a little extra time to be alert and ready. But no medication! A fishing trip with his boss! He couldn’t believe the predicament. What should he do? Should he risk a day—with less sleep than normal—without Dilantin? Should he somehow get lost and miss the boat? Should he feign illness and as politely as possible excuse himself from the trip? Should he make some effort to obtain Dilantin? In all, the grand mal seizures experienced by Mr. Smith, if added together, would equal less than 20 minutes. But the predicaments brought on by seizures or anticipation of them would have added considerable stress.


Head Injury Status Epilepticus Partial Seizure Generalize Seizure Infantile Spasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Aird, R. B. Clinical syndromes of the limbic system. International Journal of Neurology, 1968, 340–352.Google Scholar
  2. Aird, R. B., & Woodbury, D. M. The management of epilepsy. Springfield, Ill.: Charles C Thomas, 1974.Google Scholar
  3. Annegers, J. F., Grabow, J. D., Groover, R. V., Laws, E. R., Elvebeck, L. R., & Kurland, L. T. Seizures after head trauma: A population study. Neurology, 1980, 30, 683–689.CrossRefGoogle Scholar
  4. Boll, T. J. The effect of age at onset of brain damage on adaptive abilities in children. Paper presented at the meeting of the American Psychological Association, Montreal, August, 1973.Google Scholar
  5. Cereghino, O. Cited in Aura: A new look at an old phenomenon. National Spokesman, July-August, 1980.Google Scholar
  6. Commission For the Control of Epilepsy and its Consequences. Plan for nationwide action on epilepsy, Vol. 1. U.S. Department of Health, Education, and Welfare: Public Health Service, National Institutes of Health, 1978, DHEW Publication No. (NIH) 78–276.Google Scholar
  7. Cooper, J. E. Epilepsy in a longitudinal survey of 5,000 children. British Medical Journal, 1965, 1, 1020–1022.CrossRefGoogle Scholar
  8. Davison, G. Convulsions in childhood. Newcastle Medical Journal, 1970, 31, 105–112.Google Scholar
  9. Debakan, A. Neurology of infancy. Baltimore: Williams & Wilkin, 1959.Google Scholar
  10. Dikmen, S., Matthews, C. G., & Harley, J. P. The effect of early versus late onset of major motor epilepsy upon cognitive-intellectual performance. Epilepsia, 1975, 16, 73–81.CrossRefGoogle Scholar
  11. Ford, F. R. Diseases of the nervous system in infancy, childhood and adolescence (5th ed.). Springfield, Ill.: Charles C Thomas, 1966.Google Scholar
  12. Freeman, F. R., Douglas, E. F. O, & Penry, J. K. Environmental interaction and memory during petit mal (absence) seizures. Pediatrica, 1973, 51(5), 911–918.Google Scholar
  13. Gastaut, H. Clinical and electroencephalographic classification of epileptic seizures. Epilepsia, 1970, 11, 102–113.CrossRefGoogle Scholar
  14. Glaser, G. H. The problem of psychosis in psychomotor temporal lobe epileptics. Epilepsia. 1964, 5, 271–278.CrossRefGoogle Scholar
  15. Gloor, P. Generalized spike and wave discharges: A consideration of cortical and subcortical mechanisms of their genesis and synchronization. In H. Petsche & M. A. B. Brazier (Eds.), Synchronization of EEG activity in epilepsies. New York: Springer-Verlag, 1972.Google Scholar
  16. Goodglass, H., Foison, A. T., Morgan, M., & Quadfasel, F. A. Epileptic seizure, psychological factors and occupational adjustment. Epilepsia, 1963, 4, 322–341.CrossRefGoogle Scholar
  17. Halstead, H. Abilities and behavior of epileptic children. Journal of Mental Science, 1957, 103, 28–47.Google Scholar
  18. Hutt, S. J., & Fairweather, H. Information processing during two types of EEG activity. Electroencephalography and Clinical Neurophysiology, 1975, 39, 43–51.CrossRefGoogle Scholar
  19. Klove, H., & Mathews, C. G. Psychometric and adaptive abilities in epilepsy with differential etiology. Epilepsia, 1966, 7, 330–338.CrossRefGoogle Scholar
  20. Lennox, W. G., & Lennox, M. A. Epilepsy and related disorders. Boston: Little, Brown, 1960.Google Scholar
  21. Lewis, D. O., Balla, D. A., & Sacks, H. C. Psychotic symptomatology in a juvenile court clinic population. Journal of American Academy of Child Psychiatry, 1973, 12, 660–674.CrossRefGoogle Scholar
  22. Lezak, M. D. Neuropsychological assessment. New York: Oxford University Press, 1976.Google Scholar
  23. Lindsay, J., Ounsted, C., & Richards, P. Long-term outcome in children with temporal lobe seizures. 1: Social outcome and childhood factors. Developmental Medicine and Child Neurology, 1979, 21, (3), 285–298.CrossRefGoogle Scholar
  24. Livingston, S. Comprehensive management of epilepsy in infancy, childhood and adolescence. Springfield, Ill.: Charles C Thomas, 1972.Google Scholar
  25. Matthews, W. B. Practical neurology. Oxford: Blackwell, 1970.Google Scholar
  26. Millichap, J. G. Febrile convulsions. New York: Macmillan Company, 1968.Google Scholar
  27. Millon, T. Modern psychopathology: A biosocial approach to maladaptive learning and functioning. Philadelphia: Saunders, 1969.Google Scholar
  28. Penry, J. K., & Dreifuss, F. E. Automomatisms associated with the absence of petit mal epilepsy. Archives of Neurology, 1969, 21, 142–149.CrossRefGoogle Scholar
  29. Pincus, J. H. Can violence be a manifestation of epilepsy? Neurology, 1980, 30, 304–307.CrossRefGoogle Scholar
  30. Pritchard, P. B., Lombroso, C. T., & McIntyre, M. Psychological complications of temporal lobe epilepsy. Neurology, 1980, 30, 227–232.CrossRefGoogle Scholar
  31. Rasmussen, T. The role of surgery in the treatment of focal epilepsy. Clinical Neurosurgery, 1969, 16, 288–314.Google Scholar
  32. Reitan, R. M., & Davison, L. A. (Eds.). Clinical neuropsychology: Current status and applications. Washington, D.C.: V. H. Winston, 1974.Google Scholar
  33. Remschmidt, H. Psychological studies of parents with epilepsy and popular prejudice. Epilepsia, 1973, 14, 347–356.CrossRefGoogle Scholar
  34. Rennick, P. M., Perez-Borja, C., & Rodin, E. A. Transient mental deficits associated with recurrent prolonged epileptic clouded state. Epilepsia, 1969, 10, 397–405.CrossRefGoogle Scholar
  35. Reynolds, E. H. Chronic anticipated toxicity: A review. Epilepsia, 1975, 16, 319–352.CrossRefGoogle Scholar
  36. Ricci, G., Berti, G., & Cherubini, E. Changes in interictal focal activity and spike-wave paroxyms during motor and mental activity. Epilepsia, 1972, 13, 785–794.CrossRefGoogle Scholar
  37. Russell, W. R., & Whitty, C. W. M. Studies in traumatic epilepsy. I. Factors influencing incidence of epilepsy after brain wounds. Journal of Neurology, Neurosurgery, and Psychiatry, 1952, 15, 93–98.CrossRefGoogle Scholar
  38. Rutter, M., Graham, P., & Yule, W. A Neuropsychiatric Study in Childhood. Clinics in Developmental Medicine, Nos. 35/36. London: SIMP with Heinemann Medical, 1970.Google Scholar
  39. Seidel, V. P., Chadwick, O. F. D., & Rutter, M. Psychological disorders in crippled children. A comparative study of children with and without brain damage. Developmental Medicine and Child Neurology, 1975, 17, 563–573.CrossRefGoogle Scholar
  40. Smith, D. W. Teratogenicity of anticonvulsant medicine. American Journal of Disabled Children, 1977, 131, 1337–1339.Google Scholar
  41. Tizard, B., & Margerison, J. H. The relationship between generalized paroxysmal EEG discharges and various test situations in two epileptic patients. Journal of Neurology, Neurosurgery, and Psychiatry, 1963, 26, 308–313.CrossRefGoogle Scholar
  42. Ward, F. W., & Bower, B. D. A study of certain social aspects of epilepsy in childhood. Supplement No. 39. Developmental Medicine and Child Neurology, 1978, 20, (1) 1–63.Google Scholar
  43. Wright, B. Physical disability-A psychological approach. New York: Harper & Row, 1960.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Leif G. Terdal

There are no affiliations available

Personalised recommendations